Spine Center Congratulates Team Members

The Spine Center would like to congratulate Florida Hospital Sports Medicine & Rehabilitation team members and partners Ron Miller, Bill Hanney, Ian Young, & Sheila Klausner on their recent publication in the January 2012, issue of Orthopaedic Practice. Below is the article abstract for your enjoyment.

Application of Regional Interdependence in a 20-Year-Old Male Collegiate Baseball Player with Recurrent Nonspecific Low Back Pain: A Retrospective Case Report.

ABSTRACT

Study Design: Case report. Back­ground: The concept of regional interdepen­dence has been applied by physical therapists for musculoskeletal pathologies; however, little evidence exists to support its effective­ness in patients with low back pain (LBP). The purpose of this case report is to further investigate the concept of regional interde­pendence in a patient with recurrent non­specific LBP and evaluate the results of this treatment approach with regards to changes in pain and disability.

Case Description: The patient was a 20-year-old male collegiate baseball player complaining of recurrent LBP for 6 months who failed prior conser­vative treatment. Interventions emphasized manual therapy to the hip and exercises to address hip and lumbar muscle weak­ness. The patient was treated 10 times over a 4-week period. Outcomes of pain, func­tion, and disability were recorded at baseline and 2 weeks, and 4-week follow-up periods.

Outcomes: At discharge, significant changes were revealed in the NPRS (Numeric Pain Rating Scale), MODI (Modified Oswestry Disability Index), and PSFS (Patient Spe­cific Functional Scale). The patient had a favorable outcome and was able to return to sport specific training including baseball activities.

Discussion: Although there is a paucity of evidence supporting the concept of regional interdependence in patients with LBP, this case study provides a description of its application and subsequent outcomes for changes in pain and disability in a patient with recurrent LBP. More rigorous research designs are needed to imply causation and determine long-term outcomes.

Full Article Reference

Miller, R., Hanney, W., Young, I., & Klausner, S. (2012). Application of Regional Interdependence in a 20-Year-Old Male Collegiate Baseball Player with Recurrent Nonspecific Low Back Pain: A Retrospective Case Report. Orthopaedic Practice , 24 (1:12), 14-20.